Individual
ROSEMARY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 RIVER AVE, SUITE 245, LAKEWOOD, NJ 08701-4738
(732) 367-1888
Mailing address
30 AYRMONT LN, ABERDEEN, NJ 07747-1223
(908) 601-1450
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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